Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.07 / $427.14 / $427.14	Facility		$50.07	$427.14	$427.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $330.76 / $536.54	Professional		$57.93	$330.76	$536.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $146.08 / $1,165.73	Professional		$116.87	$146.08	$1,165.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $522.70 / $933.86	Facility		$70.23	$522.70	$933.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.88 / $759.96 / $3,009.28	Professional		$360.88	$759.96	$3,009.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.33 / $641.19 / $1,002.30	Facility		$130.33	$641.19	$1,002.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $597.44 / $1,002.30	Professional		$115.00	$597.44	$1,002.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $482.77 / $763.34	Professional		$86.88	$482.77	$763.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.14 / $690.75 / $1,074.50	Professional		$428.14	$690.75	$1,074.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $124.10 / $926.50	Professional		$101.40	$124.10	$926.50